Individual provider Active NPI

Michael Christopher Large, M.D.

  • Urology Physician
  • Fishers, IN
National Provider Identifier
1346489630
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
01072896A Issued in IN
Practice address
14300 E 138TH Ste a
Fishers, IN 46037-0087
Phone
(317) 813-1660
Fax
(317) 813-1667
NPI assigned
Feb 11, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 125-049267 IL
Urology Physician 208800000X 01072896A IN Primary

Addresses

Primary practice location

14300 E 138TH Ste a
Fishers, IN 46037-0087

Mailing address

679 E County Line Rd
Greenwood, IN 46143-1049
Phone (317) 885-1250

Other identifiers 6

IdentifierTypeStateIssuer
201191980MedicaidIN
000000826877OtherINANTHEM PIN
1548340177OtherINNAAB ROAD DME NPI
100194370OtherINGROUP MEDICAID NUMBER
1487680518OtherINGROUP NPI
200288740OtherINGROUP MEDICAID NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address urologyin@directaddress.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130918000841 IN Practitioner - Urology 3577707231 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Indiana University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Urology of Indiana LLCGroup PAC ID 7517870009, 79 clinicians
Community Physicians of Indiana IncGroup PAC ID 1759416662, 1,569 clinicians
Community Physician Network Specialty Care LLCGroup PAC ID 9931697265, 260 clinicians

Practice addresses (Care Compare)

14300 E 138TH St
BLDG a
Fishers, IN 46037-0087
Phone (317) 813-1660

7979 N Shadeland Ave
Indianapolis, IN 46250-2042
Phone (317) 621-3780

8075 N Shadeland Ave
Indianapolis, IN 46250-2693
Phone (317) 621-8000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
125-049267ILMDUrology Physician
01072896AINMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Urology of Indiana L.L.C. Urology CurrentSince Aug 1, 2013 Accepting new patients
Urology of Indiana, L.L.C. CurrentSince Aug 1, 2013 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Feb 1, 2022 Accepting new patients
Community Physician Network Specialty Care LLC CurrentSince Jan 1, 2026 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Feb 1, 2022 Accepting new patients
Major Hospital Past Accepting new patients
Urology of Indiana, L.L.C. Past Accepting new patients
Urology of Indiana L.L.C. Past Accepting new patients
Urology of Indiana L.L.C. Past Accepting new patients
Urology of Indiana L.L.C. Past Accepting new patients
Urology of Indiana, LLC Past Accepting new patients
Urology of Indiana, L.L.C. Past Accepting new patients
Urology of Indiana L.L.C. Past Accepting new patients
Urology of Indiana, L.L.C. Past Accepting new patients
Urology of Indiana, L.L.C. Urology Past Accepting new patients
Urology of Indiana L.L.C Past Accepting new patients
Urology of Indiana L.L.C. Past Accepting new patients
Urology of Indiana L.L.C. Past Accepting new patients
Urology of Indiana L.L.C. Past Accepting new patients
Urology of Indiana, L.L.C. Past Accepting new patients
Urology of Indiana L.L.C. Past Accepting new patients
Urology of Indiana L.L. C. Past Accepting new patients

Locations

5819 Reliable Pkwy
Chicago, IL 60686

5918 Reliable Pkwy
Chicago, IL 60686

11380 Illinois St
Carmel, IN 46032
Phone (317) 807-1262

14300 E 138th
Ste A
Fishers, IN 46037
Phone (317) 813-1660

679 E County Line Rd
Greenwood, IN 46143
Phone (317) 807-1262

7979 N Shadeland Ave
Ste 310
Indianapolis, IN 46250
Phone (317) 621-3780

1270 N Post Rd
Ste A
Indianapolis, IN 46219
Phone (317) 895-6095

7979 N Shadeland Ave
Ste 100
Indianapolis, IN 46250
Phone (317) 621-4300

8040 Clearvista Pkwy
Ste 370
Indianapolis, IN 46256
Phone (317) 813-1660

7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444

8075 N Shadeland Ave
Indianapolis, IN 46250
Phone (317) 621-8000

8240 Naab Rd
Ste 200
Indianapolis, IN 46260
Phone (317) 872-0123

7979 N Shadeland Ave
Ste 200
Indianapolis, IN 46250
Phone (317) 621-3300

Interoperability endpoints

  • Direct secure messaging: urologyin@directaddress.net

Organizations & group practices 22

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 22

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1234310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1346489630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "679 E COUNTY LINE RD",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461431049",
            "telephone_number": "317-885-1250",
            "fax_number": "317-859-4268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14300 E 138TH STE A",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460370087",
            "telephone_number": "317-813-1660",
            "fax_number": "317-813-1667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARGE",
        "first_name": "MICHAEL",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-11",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IL",
            "license": "125-049267",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IN",
            "license": "01072896A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201191980",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN",
            "identifier": "000000826877",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NAAB ROAD DME NPI",
            "identifier": "1548340177",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICAID NUMBER",
            "identifier": "100194370",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1487680518",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICAID NUMBER",
            "identifier": "200288740",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "urologyin@directaddress.net",
            "affiliation": "N",
            "address_1": "14300 E 138th Ste A",
            "city": "Fishers",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460370087",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fishers, IN

Sources for this page

Verify at the official NPI Registry.